Acute compartment syndrome caused by hematoma with minor trauma in hemodialysis patients: Two case reports.

Compartment syndrome Forearm Hemodialysis Minor trauma

Journal

International journal of surgery case reports
ISSN: 2210-2612
Titre abrégé: Int J Surg Case Rep
Pays: Netherlands
ID NLM: 101529872

Informations de publication

Date de publication:
Aug 2023
Historique:
received: 14 06 2023
revised: 24 07 2023
accepted: 27 07 2023
medline: 12 8 2023
pubmed: 12 8 2023
entrez: 11 8 2023
Statut: ppublish

Résumé

Acute compartment syndrome is a condition that requires an immediate diagnosis and surgical management. Compartment syndrome related to hematoma caused by minor trauma in hemodialysis patients is rarely reported. We present two cases of hemodialysis patients diagnosed with compartment syndrome of the forearm due to hematoma caused by the disruption of blood vessels after a minor trauma. The removal of the hematoma and fasciotomy with adequate skin care significantly improved soft tissue heeling with no functional impairment. A long-term history of hemodialysis may increase the vascular vulnerability and have the potential risk of disruption by minor trauma. When the blood vessel is disrupted, a hematoma is formed and necessitating emergent surgical intervention. Surgeons should be aware of the potential risk of damage to blood vessels with minor trauma that results in the formation of a hematoma and compartment syndrome in hemodialysis patients.

Identifiants

pubmed: 37566989
pii: S2210-2612(23)00723-X
doi: 10.1016/j.ijscr.2023.108594
pmc: PMC10432788
pii:
doi:

Types de publication

Case Reports

Langues

eng

Pagination

108594

Informations de copyright

Copyright © 2023 The Author(s). Published by Elsevier Ltd.. All rights reserved.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors do not have any potential conflicts of interest with respect to this manuscript.

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Auteurs

Shinsuke Morisaki (S)

Department of Orthopaedics, Saiseikai Shiga Hospital, Ohashi 2-4-1, Ritto, Shiga 520-3046, Japan. Electronic address: morisaki@koto.kpu-m.ac.jp.

Yusuke Kobayashi (Y)

Department of Orthopaedics, Saiseikai Shiga Hospital, Ohashi 2-4-1, Ritto, Shiga 520-3046, Japan.

Shinji Tsuchida (S)

Department of Orthopaedics, Kyoto Prefectural University of Medicine, Kawaramachi Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan.

Kenji Takahashi (K)

Department of Orthopaedics, Kyoto Prefectural University of Medicine, Kawaramachi Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan.

Classifications MeSH